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Individual

ABDULKADER GHADIALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
16523 106TH CT UNIT C2, ORLAND PARK, IL 60467-4545
(708) 942-8154
(708) 551-0753
Mailing address
16523 106TH CT UNIT C2, ORLAND PARK, IL 60467-4545
(708) 942-8154
(708) 551-0753

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.031244
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
101707
CA

Other

Enumeration date
06/28/2017
Last updated
01/05/2025
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